Provider Demographics
NPI:1659370518
Name:CITY OF OSWEGO
Entity Type:Organization
Organization Name:CITY OF OSWEGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CITY CHAMBERLAIN
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:P
Authorized Official - Last Name:COAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-342-8107
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-0535
Mailing Address - Country:US
Mailing Address - Phone:315-635-1789
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:35 E CAYUGA ST
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-1151
Practice Address - Country:US
Practice Address - Phone:315-343-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01091712Medicaid
NYRR5555OtherRAILROAD MEDICARE
NYRR5555OtherRAILROAD MEDICARE